Individual
FAUSTINO SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3241 S MICHIGAN AVE, CHICAGO, IL 60616-4201
(312) 949-7751
Mailing address
3241 S MICHIGAN AVE, CHICAGO, IL 60616-4201
(312) 949-7751
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011112
IL
Other
Enumeration date
04/04/2017
Last updated
07/28/2017
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